For Independent Private Practices — Not Hospital-Affiliated
Five practices. The full engagement. Free.
Not clients. Not customers. Research partners.
We design an ambient, AI-powered documentation workflow around a wearable recorder and your existing EHR. Five independent practices get the full 90-day implementation, plus 90 days of follow-up optimization — six months total — at no charge, in exchange for the documented before/after that changes the conversation about AI in private practice.
This is an application, not a booking. We review each practice for fit, and if you're selected we'll reach out to schedule. Applying doesn't reserve a spot.
5 of 5 founding spots open
Vegas proximity required for on-site work
No charge to founding partners
Application required
Five Spots — Free
Apply for a free ADPIE Assessment.
Two minutes. No payment info. No commitment. If you're one of the five, you walk away with:
AssessA full clinic-day time study. Physicians average about 44 minutes of EHR work for every hour scheduled with a patient — nearly 55 in primary care. Find yours.
DiagnoseA written diagnosis of exactly where the hours — and the compliance risk — are leaking.
PlanAn ambient AI documentation plan matched to your actual tools — not a vendor's product sheet.
InterveneStaff training and workflow builds inside your real systems, done with you.
Evaluate90 days of follow-up optimization, then re-measure. Before/after numbers — yours to keep, whatever you decide after.
The mathStandard price: $7,000+, scales with practice size. Founding five: $0.
The founding five get all of it for $0.
The exchange, stated plainly: your before/after becomes a documented case study. Practice name stays private. That's the whole catch.
The structure is the guarantee: a 90-day implementation plus 90 days of follow-up optimization — six months total — and it ends there, regardless of outcome. dX80 never asks for an open-ended commitment.
Five founding invitations go to the most qualified independent private practices — no promised timeline. This exact offer will not be extended again once the five are filled. Standard pricing appears further down this page.
This goes directly to Daina. No marketing list. No automated response.
A personal reply within 5 business days. That is the promise.
The Research This Is Built On
No testimonials yet. The evidence came first.
Case studies are what the founding five produce. Until then, the argument stands on published research — linked, so you can check it.
44min
Of EHR work per hour scheduled with a patient — nearly 55 in primary care, much of it after hours
It is the same process you use with your patients every day. Daina applies it to your practice instead of a patient chart.
A
Assess
Full audit of your current workflow, tools, staff AI use, HIPAA exposure, and documentation burden. No assumptions. No pre-packaged solutions.
Included in every engagement
D
Diagnose
Name the specific gaps, risks, and highest-leverage opportunities in your practice precisely before building anything.
Included in every engagement
P
Plan
Custom AI integration roadmap. Tool selection, workflow design, staff training plan, HIPAA compliance framework — built for your practice specifically.
Included in every engagement
I
Intervene
Execute. Workflows built inside your actual tools. Staff trained on approved systems. Before and after measured at every stage.
Included in every engagement
E
Evaluate
Measure outcomes. Document time saved, errors reduced, satisfaction gained. The cycle continues as AI evolves — this is not a one-time fix.
Included in every engagement
Why We're Doing This
Nine arguments. Zero proof of concept.
Daina has spent months documenting the gap — the research, the HIPAA exposure, the shadow AI risk, the paperwork burden, the 60-hour weeks. The argument is thorough. The case is airtight.
What doesn't exist yet is a private practice that has gone through the full ADPIE process and can show the before and after. That's what these five offices are for.
This is not charity. This is the proof of concept that changes everything that comes after it. Five real practices. Measured outcomes. Documented results. Published findings. That's the north star.
"If I'm wrong, tell me. I'm open to it." — That's why we measure everything.
"I don't need this business. I want it. And that is a very different thing."
Daina Tirrell, BSN, RN. Former competitive athlete. Mom of two. Thrown headfirst into AI at Four Score Solutions — her husband Mike's firm. She did not come to this because she needed a business. She came to this because she spent time on clinical floors, went deep on AI, and could not unknow what she learned.
The gap between what AI can do for private practice and what private practice is actually doing with AI is catastrophic and fixable. She is here to fix it. These five offices are where the fix gets documented.
Tech people can build the tools. They cannot sit across from a physician and speak the language. She can. That's why she's the one doing this.
The Founding Cohort
What being one of five actually means.
⬤ Founding cohort — 5 offices total · Vegas area only
You are not getting less because it's free. You are getting the founder's full attention while the waitlist is still short.
What dX80 brings: Full ADPIE engagement — Assess, Diagnose, Plan, Intervene, Evaluate. An ambient AI documentation plan. HIPAA-aware workflow design. Staff training. Workflow builds inside your actual systems. 90 days of follow-up optimization, then a re-measure. All of it.
What you provide: Access to your practice, your workflows, and your staff. Willingness to participate in before/after documentation. That is the entire exchange.
What gets published: Aggregate findings only. No practice names. No individual data. The documentation protects your privacy while contributing to the national conversation.
Vegas proximity: In-person work is required for the founding cohort. Daina's time is finite and her family is in Henderson. "When I'm with you, I'm not with my family. If you know anything about me, you know what that means."
Timeline: A 90-day implementation plus 90 days of follow-up optimization — six months total, start to finish. Standard paid engagements are 90 days; founding partners get double the runway. Applications reviewed personally by Daina. You will hear back within 5 business days of submitting.
One more thing, stated plainly: Our work for the founding five is free. You still pay vendors directly for any tools you choose to adopt (a documentation recorder, AI subscriptions, etc.).
The Price, Posted
$7,000, struck to zero. There. Now you know.
Every vendor in this space hides pricing behind "book a demo." You are a clinician. You are tired of that. So here it is: a full ADPIE Assessment plus a 90-day implementation starts at $7,000 for a solo clinician and scales with practice size and complexity. For scale: $5,000–$15,000 is roughly what a small independent practice already spends per year on its EHR and practice technology (HIPAA Journal, JMCO).
We give you the full project price up front, based on your practice size — no guessing, no flat rate that doesn't fit your practice — then split it into two simple payments: one-third to book your ADPIE day, two-thirds to book your rollout. Nothing is scheduled until the corresponding payment is fully collected. The five founding research partners pay nothing for either payment, for the full six-month engagement, in exchange for documented before/after data.
Starts at $7,000. The full engagement — ADPIE Assessment through a 90-day implementation — scales with practice size and complexity. Quoted precisely at intake, before anything is booked.
One-third to book your ADPIE day. This reserves your on-site time study, analysis, and written plan. On a $7,000 project, that's roughly $2,300.
Two-thirds to book your rollout. If the plan makes sense and you want us to run the implementation, the remaining balance is due before we schedule training and build-out. No work is booked until each installment is fully collected — no chasing invoices mid-project. Pay it however works for you — a lump sum or in pieces — the only rule is the full installment lands before the next phase is booked.
Founding five — $0. The first five independent private practices pay nothing for a 90-day implementation plus 90 days of follow-up optimization — six months total — in exchange for documented before/after case studies. The limit is real, not marketing — and it's an invitation Daina extends to the most qualified applicants, on no promised timeline.
After the founding five. The one-third / two-thirds structure above becomes standard. This exact free offer will not be extended again.
The built-in guarantee. The engagement is scoped to 90 days and ends there. We never ask for an open-ended commitment.
Before You Ask
The questions physicians actually ask.
"Someone watching my clinic day — what about my patients' privacy?"
The assessor never enters an exam room and never records patient information. The protocol logs activity codes and timestamps only — how the clinical day spends its minutes, not what happens inside a visit. It was designed by a nurse who has lived HIPAA from the inside, and your patients see a posted observer notice. No PHI. Ever.
"I don't have a day to spare."
Good — because the assessment only works if you don't change anything. Your clinic day runs exactly as normal; the observer's entire job is to not interfere. Your actual time cost: a short intake before, and a 45-minute review call after. The measured day belongs to your patients, as always.
"Why is a nurse assessing my practice?"
Because the process is the nursing process — Assess, Diagnose, Plan, Intervene, Evaluate — and nurses run it every shift of their careers. Every assessor who enters a practice is a registered nurse licensed in Nevada — no exceptions. RNs have lived HIPAA under their own license, and they know how to move through a physician's day without disturbing it. A software vendor can't say any of that.
"Free? What's the catch?"
The catch is printed above: your documented before/after becomes the case study that makes the paid version defensible. That's the entire trade. And if you want the reason that still makes sense after the excitement fades: ~20% of healthcare professionals admit to using unauthorized AI at work. This assessment doubles as the compliance audit you already know you owe your license.
The Honest Part
What Daina will not tell you.
She will not tell you this works for every practice. She doesn't know yet. That is exactly why she is doing five founding engagements before scaling — because she is a nurse, and nurses do not publish results before they have data.
She will not tell you AI is risk-free. It is not. Implemented correctly, you know exactly what it's doing and why. Implemented incorrectly, the liability accumulates silently in your building right now.
She will not tell you this is easy. It is six months of real work on a real practice. What she will tell you is that the before and after will be measured, documented, and honest.
If I'm wrong about what your practice needs, tell me. I'm open to it.
One thing is on the horizon, once there’s proof to build it on: The dX80 Intensive — two days in Las Vegas, opens once a track record of completed ADPIE engagements exists.